Individual provider · Type 1 NPI
Portia M. Granger, LCSW
Mental Health Counselor · Hattiesburg, MS
NPI number
1912352709
Active
Practice location
156 Morrell Cir
Hattiesburg, MS 39402-8132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C7819 (MS) |
Mental Health Counselor: Definition to come...
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About NPI 1912352709
Portia M. Granger, LCSW's National Provider Identifier is 1912352709, issued on Apr 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hattiesburg, MS. The record was last updated on Apr 28, 2016.